scholarly journals Phase Specific Pain Localization in Cluster Headache Patients.

2020 ◽  
Author(s):  
Philipp Schröder ◽  
Charly Gaul ◽  
Attyla Drabik ◽  
Albrecht Molsberger
Keyword(s):  
Cluster Headache ◽  
Online Survey ◽  
Anatomical Structures ◽  
Headache Attack ◽  
Location Data ◽  
Pain Location ◽  
Cluster Headache Attack ◽  
Significant Difference ◽  
Survey Results ◽  
Pain Localization

Abstract Background and Objective:Applying local treatments like neuromodulation or injections for cluster headache, requires exact knowledge of the anatomical structures and pain topography. However studies with emphasis on exact pain localization are rare although local treatments are increasingly used for patients in whom systemic pharmacotherapy is ineffective or contraindicated. Here, survey results with emphasis on exact pain location in cluster headache attacks for onset of pain, peak pain and radiation of pain, are presented. Methods: Data from 631 respondents were collected for 23 months using an online survey composed of 117 questions on pain location, epidemiology, and clinical features. 5260 datapoints on 44 pain locations were analyzed.Results: There is a periorbital concentration of pain during onset and peak phases of attacks. Pain locations outside the periorbital region were reported more frequently during radiation when compared to the onset and peak of attacks. Dorsal (occipital/nuchal) pain is more frequent during onset and radiation compared to peak: onset pain (13%) vs. peak pain (6%), p < 0,001. Pain radiation (22%) vs. peak pain (6%), p < 0,001. There is no significant difference in dorsal pain frequencies for pain radiation (22%) vs. onset (13%), p = 0,552. Furthermore, single pain spots differ significantly in frequency during the three attack phases.Conclusions: Analysis of the pain location data shows phase specific frequencies and distributions of pain location during the three stages of a cluster headache attack. Single pain spots differ significantly in frequency during the three attack phases. Dorsal pain is more frequent during onset and radiation, compared to peak. Extra-orbital pain locations are more frequent during pain radiation. These findings will help to better understand cluster headache and might help to identify further target structures for local treatments.

Studies of Platelet Monoamine Oxidase Activity during an Acute Cluster Headache Attack.

Cephalalgia ◽  
1991 ◽  
Vol 11 (11_suppl) ◽  
pp. 254-255 ◽  
Author(s):  
Aron D. Mosnaim ◽  
Shankar Huprikar ◽  
Marion E. Wolf ◽  
Frederick Freitag ◽  
Seymour Diamond
Keyword(s):  
Monoamine Oxidase ◽  
Cluster Headache ◽  
Oxidase Activity ◽  
Monoamine Oxidase Activity ◽  
Headache Attack ◽  
Cluster Headache Attack ◽  
Platelet Monoamine Oxidase

Beta-oscillations in the posterior hypothalamus are associated with spontaneous cluster headache attack

2010 ◽  
Vol 257 (10) ◽  
pp. 1743-1744 ◽  
Author(s):  
Wido Nager ◽  
Thomas F. Münte ◽  
Josep Marco-Pallares ◽  
Marcus Heldmann ◽  
Reinhard Dengler ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Posterior Hypothalamus ◽  
Beta Oscillations ◽  
Headache Attack ◽  
Cluster Headache Attack

Rebound following oxygen therapy in cluster headache

Cephalalgia ◽  
2011 ◽  
Vol 31 (10) ◽  
pp. 1145-1149 ◽  
Author(s):  
Rianne PJ Geerlings ◽  
Danielle YP Haane ◽  
Peter J Koehler
Keyword(s):  
Cluster Headache ◽  
Oxygen Therapy ◽  
Rebound Effect ◽  
Case Series ◽  
Acute Attack ◽  
Complete Relief ◽  
Headache Attack ◽  
Oxygen Treatment ◽  
Cluster Headache Attack ◽  
The Individual

Background: Rapid recurrence of a new cluster headache attack following oxygen treatment was named the ‘rebound effect’ by Kudrow (1981). It has never been studied properly. To study this effect, we defined it as a more rapid than usual (for the individual patient) recurrent cluster headache attack after complete relief following oxygen therapy, or an increase in the number of attacks per 24 hours while using oxygen therapy as acute attack treatment. We reviewed the literature and searched our cluster headache study databases. Case series: In our eight patients with rebound cluster headache, the effect was experienced following 87.5% of oxygen treated attacks. Duration until the next cluster headache attack was on average 894 minutes shorter and frequency was on average 1.6 cluster headache attacks per day higher than without oxygen therapy. Conclusion: Although the 1981 trial reported a prevalence of 25%, rebound cluster headache following oxygen therapy is rarely reported nowadays. This may be due to better techniques in oxygen application, the use of higher oxygen flow rates or underreporting. The few literature data and data on our eight patients did not provide clues about the mechanism of the rebound effect. Further study, applying the proposed definition, seems useful.

Increase in plasma calcitonin gene-related peptide from the extracerebral circulation during nitroglycerin-induced cluster headache attack

Pain ◽  
1995 ◽  
Vol 60 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Marcello Fanciullacci ◽  
Massimo Alessandri ◽  
Michela Figini ◽  
Pierangelo Geppetti ◽  
Sergio Michelacci
Keyword(s):  
Cluster Headache ◽  
Calcitonin Gene Related Peptide ◽  
Headache Attack ◽  
Related Peptide ◽  
Cluster Headache Attack ◽  
Calcitonin Gene

scholarly journals The iPortfolio: Measuring uptake and effective use of an institutional electronic portfolio in higher education

2012 ◽  
Vol 28 (1) ◽  
Author(s):  
Brian R Von Konsky ◽  
Beverley Oliver
Keyword(s):  
Extracurricular Activities ◽  
Technology Use ◽  
Online Survey ◽  
Electronic Portfolio ◽  
Formal Curriculum ◽  
Significant Difference ◽  
Usage Patterns ◽  
Survey Results ◽  
One Year ◽  
Effective Use

<span>An institutional electronic portfolio called the </span><em>iPortfolio</em><span> had over 17,000 subscribers one year after its introduction at an Australian university. This paper reports on a study to determine how students use these </span><em>iPortfolio</em><span> accounts, and factors leading to uptake and effective use. Self-assessed competence with technology skills, factors motivating uptake, and barriers to adoption were examined using an online survey completed by 554 students. Of these, 339 had an </span><em>iPortfolio</em><span> at the time they completed the survey. Survey results were examined in the context of usage patterns based on data automatically collected for operational and administrative purposes. No statistically significant difference in prior technology use or self-assessed competence with information technology was observed when comparing students with </span><em>iPortfolio</em><span> accounts to those without. Assessment was found to be the principal driver of</span><em>iPortfolio</em><span> uptake. However, about two-fifths (42.9%) of students agreed that they were likely to use the </span><em>iPortfolio</em><span> in the future, even if it was not a course requirement. An additional 29.6% were neutral. Significant use of the </span><em>iPortfolio</em><span> to reflect on extracurricular activities was not observed. Improved employability outcomes were seen to be a benefit of </span><em>iPortfolio</em><span> adoption by about half (52%) of the students. Recommendations are made to promote </span><em>iPortfolio</em><span> uptake and encourage student reflection on 'lifewide' experiences that enhance employability and augment learning within the formal curriculum.</span>

scholarly journals The use of oxygen in cluster headache treatment worldwide – a survey of the International Headache Society (IHS)

Cephalalgia ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 396-398 ◽  
Author(s):  
Stefan Evers ◽  
Alan Rapoport ◽  
Keyword(s):  
Public Health ◽  
Cluster Headache ◽  
International Headache Society ◽  
Headache Attack ◽  
Facial Mask ◽  
Health Authorities ◽  
Cluster Headache Attack ◽  
Headache Treatment ◽  
National Public Health ◽  
Public Health Authorities

Background Oxygen is recommended for the treatment of acute cluster headache attacks. However, it is not available worldwide. Methods The International Headache Society performed a survey among its national member societies on the availability and the restrictions for oxygen in the treatment of cluster headache. Results Oxygen is reimbursed in 50% of all countries responding ( n = 22). There are additional restrictions in the reimbursement of the facial mask and with respect to age. Conclusion Oxygen for the treatment of cluster headache attack is not reimbursed worldwide. Headache societies should pressure national/public health authorities to reimburse oxygen for cluster headache in all countries.

Somatostatin for Cluster Headache Attack

1985 ◽  
pp. 302-305 ◽  
Author(s):  
Pierangelo Geppetti ◽  
Alessandro Brocchi ◽  
Daniela Caleri ◽  
Simone Marabini ◽  
Liborio Rainò ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Headache Attack ◽  
Cluster Headache Attack
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